Dustin Rand Goudeau, PAC

NPI #1003880956 in Alexandria, Louisiana

Provider Information

NPI Number: 1003880956
Entity Type: Individual
Name: Dustin Rand Goudeau, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Feb 16, 2006
Last Updated: Dec 10, 2009

Practice Location

Address: 3351 MASONIC DR
City: Alexandria
State: Louisiana
ZIP Code: 71301-3842
Phone: (318) 473-9556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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